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Please read this before using presentation

Please read this before using presentation. This presentation is based on content presented at the Mines Safety Roadshow held in October 2013

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  1. Please read this before using presentation • This presentation is based on content presented at the Mines Safety Roadshow held in October 2013 • It is made available for non-commercial use (e.g. toolbox meetings, OHS discussions) subject to the condition that the PowerPoint file is not altered without permission from Resources Safety • Supporting resources, such as brochures and posters, are available from Resources Safety • For resources, information or clarification, please contact: RSDComms@dmp.wa.gov.au or visit www.dmp.wa.gov.au/ResourcesSafety

  2. Anagram approach to site incident investigations Can you move from “who” to “what” and “why” to “how”?

  3. What should an investigation achieve?

  4. What is the objective of the Act? Mines Safety and Inspection Act 1994 aims to: Promote and secure the safety and health of persons Assist employers and employees to identify and reduce hazards Protect employees against risks associated with mining operations

  5. Safety culture spectrum Messengers “shot” Reform rather than repair Whistleblowers dismissed or discredited Proactive as well as reactive Repair not reform Failures prompt far-reaching inquiries

  6. Resilient safety culture

  7. What is the difference in how we see events?

  8. Changing who and why A T H O ? W H Y ? W

  9. Reason’s Swiss cheese model James Reason’s ‘Swiss cheese model’

  10. Workshop Focus on the safety systems that failed and HOW that could have happened (contributory factors) Source: http://www.youtube.com/watch?v=hfh2yObrOHw WHAT happened here and HOW?

  11. Take-away messages Look beyond formal investigations and adopt this approach in the workplace setting when planning jobs Ask WHO is doing what task and WHY before starting the job Near-miss events are opportunities to maximise the benefits from asking WHAT and HOW during an investigation

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